🔺الدكتور عبدالعزيز الجعدي "Vascular"
💢 D.V.T 💢
💢 طريقة أخذ الـ Examination
1- Wash your hand .
2- precede your self .
3- 30 to 45 deggre .
تكون مرتفع عن المريض
4- Exposure the area
🔺First ...
Inspection we see 3 things :-
1- Risk factor of embolism :
A. Obesity
B. Old age
C. Pregnant
2- Clinical sings:-
A. Homan's sign dorsal flexion of the leg lead to the pain in the calf muscle
B. Mosts sing squizeing!!!
3 اشوف ماذا يوجد بجانب المريض كالعكاز مثلاً أو أي شيء أخر ...
🔺2nd ...
Palpation :-
1- Temperature بتكون مرتفع
2- Pulse and blood pressure
اشوفه لأنه قد يكون مافي pulse مثلاً في
Atherosclerosis and renal disease
, Thoracic outlet syndrome and tumor mass
اشوف الضغط لأنه قد يكون المريض عنده Hypertension وهذا يسبب
Endothelial injury.
3- Tenderness
4- Swelling and redness and oedema
5- Pain
🔺 3rd:-
Auscultation "ليست مهمه"
🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺
🔴 Signs of D.V.T patients:-
1- Pain
2- Swelling
3- Redness
🔵 Causes of thromboembolism:-
1- Endothelial injury :
A- Hypertension and Smoking.
B- Trauma and Endotoxin.
2- Circulatory stasis :
A. Varicose veins and anyorysm
B. Arythematis and immobility
3 Hypercoagulation :
A. Decrease antithrombin "III" and proteins C@S.
B. Atrial fibralation and Contraceptive.
🔵 Predisposing factors of Thrombosis:-
T➡️ Trauma.
H ➡️ Hormonal. e.g
contraceptives.
R ➡️ Road Traffic accident.
O ➡️ Obesity and Old age.
M ➡️ Malignancy.
B ➡️ Blood disorder and Polycythemia.
O ➡️ Orthopedic surgery and Operations.
S ➡️Stroke.
I➡️ Mobilization.
S➡️ Spleenectomy.
🔻Phlegmasia alba dolens:
تكون
Pain and oedema and Pale skin rash.
🔻Phlegmasia cerulea dolens:
تكون
Pain and oedema and cyanosis
هؤلاء ذكرهن الدكتور في ال Clinical sing
🔵 ttt :-
1- Elevate the leg to relate symptoms .
2- Elastic compression of the leg 🦵
3- Analgesic .
4 -Heparin or warfarin .
5- Thrombolysis .
6- Venous thrombectomy .
7- Prevention of ather embolism by filter .
🔵 Investigations:-
by Doppler or Duplex ultrasound scan.
#Vascular..DVT
#surgery
#د_عبدالعزيز الجعدي.
✨#Group C-5 كل الشكر لزملائنا 🌹
💢 D.V.T 💢
💢 طريقة أخذ الـ Examination
1- Wash your hand .
2- precede your self .
3- 30 to 45 deggre .
تكون مرتفع عن المريض
4- Exposure the area
🔺First ...
Inspection we see 3 things :-
1- Risk factor of embolism :
A. Obesity
B. Old age
C. Pregnant
2- Clinical sings:-
A. Homan's sign dorsal flexion of the leg lead to the pain in the calf muscle
B. Mosts sing squizeing!!!
3 اشوف ماذا يوجد بجانب المريض كالعكاز مثلاً أو أي شيء أخر ...
🔺2nd ...
Palpation :-
1- Temperature بتكون مرتفع
2- Pulse and blood pressure
اشوفه لأنه قد يكون مافي pulse مثلاً في
Atherosclerosis and renal disease
, Thoracic outlet syndrome and tumor mass
اشوف الضغط لأنه قد يكون المريض عنده Hypertension وهذا يسبب
Endothelial injury.
3- Tenderness
4- Swelling and redness and oedema
5- Pain
🔺 3rd:-
Auscultation "ليست مهمه"
🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺🔺
🔴 Signs of D.V.T patients:-
1- Pain
2- Swelling
3- Redness
🔵 Causes of thromboembolism:-
1- Endothelial injury :
A- Hypertension and Smoking.
B- Trauma and Endotoxin.
2- Circulatory stasis :
A. Varicose veins and anyorysm
B. Arythematis and immobility
3 Hypercoagulation :
A. Decrease antithrombin "III" and proteins C@S.
B. Atrial fibralation and Contraceptive.
🔵 Predisposing factors of Thrombosis:-
T➡️ Trauma.
H ➡️ Hormonal. e.g
contraceptives.
R ➡️ Road Traffic accident.
O ➡️ Obesity and Old age.
M ➡️ Malignancy.
B ➡️ Blood disorder and Polycythemia.
O ➡️ Orthopedic surgery and Operations.
S ➡️Stroke.
I➡️ Mobilization.
S➡️ Spleenectomy.
🔻Phlegmasia alba dolens:
تكون
Pain and oedema and Pale skin rash.
🔻Phlegmasia cerulea dolens:
تكون
Pain and oedema and cyanosis
هؤلاء ذكرهن الدكتور في ال Clinical sing
🔵 ttt :-
1- Elevate the leg to relate symptoms .
2- Elastic compression of the leg 🦵
3- Analgesic .
4 -Heparin or warfarin .
5- Thrombolysis .
6- Venous thrombectomy .
7- Prevention of ather embolism by filter .
🔵 Investigations:-
by Doppler or Duplex ultrasound scan.
#Vascular..DVT
#surgery
#د_عبدالعزيز الجعدي.
✨#Group C-5 كل الشكر لزملائنا 🌹
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